Michael Boltwood, PHD is a medicare enrolled "Psychologist" provider in Suquamish, Washington. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
6000 Whale Dancer Ct Ne, Suquamish, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 698-1321.
Michael Boltwood is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487739694.
Healthcare Provider's Profile
| Full Name | Michael Boltwood |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 32 Years |
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| Location | 6000 Whale Dancer Ct Ne, Suquamish, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Boltwood graduated from medical school in 1992
NPI Data:
- NPI Number: 1487739694
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 12/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254396138
- Enrollment ID: I20041120000123
Medical Identifiers
Medical identifiers for Michael Boltwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487739694 | NPI | - | NPPES |
| 7069149 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Boltwood allows following entities to bill medicare on his behalf.
| Entity Name | Michael Boltwood , Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427231307
PECOS PAC ID: 8729044417
Enrollment ID: O20041203000994 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Boltwood is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Michael Boltwood, PHD
Po Box 2324,
Silverdale, WA 98383-2324
Ph: (360) 698-1321 | Michael Boltwood, PHD
6000 Whale Dancer Ct Ne,
Suquamish, WA 98392-9648
Ph: (360) 698-1321 |
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